Mederos, Odalys

Mederos, Odalys is an sole proprietor health care provider with primary practice located at 1770 E Hallandale Beach Blvd , Hallandale Beach FL 33009-4611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mederos, Odalys can be contacted via phone (954) 458-2572.

Contact Information

Primary practice address
1770 E Hallandale Beach Blvd Hallandale Beach FL 33009-4611
Phone: (954) 458-2572
Fax: (954) 354-8151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105763 Florida

Profile Details

NPI number 1497058358
LBN Legal business name Mederos, Odalys
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2010
Last updated Oct 21st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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